Organization
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Skaggs Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M ERIXON (CHIEF EXECUTIVE OFFICER)
(417) 335-7270
Entity
Organization
Contact information
Practice address
590 BIRCH STREET, STE 2C, HOLLISTER, MO 65672
(417) 335-7337
(417) 335-7588
Mailing address
590 BIRCH STREET, STE 2C, HOLLISTER, MO 65672
(417) 335-7337
(417) 335-7588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5248
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
01/19/2008
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